Imaging-based techniques for ablation zone definition and volumetry after laser interstitial thermal therapy (LITT) for intracranial lesions: a systematic review - Summary - MDSpire

Imaging-based techniques for ablation zone definition and volumetry after laser interstitial thermal therapy (LITT) for intracranial lesions: a systematic review

  • By

  • Céline L. G. Neutel

  • Thomas M. Putinela

  • Maroeska M. Rovers

  • Pierre A. Robe

  • Mark ter Laan

  • Christiaan G. Overduin

  • October 8, 2025

  • 0 min

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Objective:

To evaluate specific imaging-based methods for defining and measuring the ablation zone in patients undergoing LITT for intracranial lesions.

Key Findings:
  • LITT is effective for treating deep-seated intracranial lesions, with implications for patient prognosis.
  • Extent of ablation (EOA) correlates with improved prognosis in some studies, highlighting the importance of accurate measurement.
  • Accurate delineation of the ablation volume is challenging, particularly in high-grade gliomas, which may impact treatment outcomes.
Interpretation:

The review highlights the need for standardized imaging-based outcome measures to accurately assess ablation zones post-LITT.

Limitations:
  • Lack of standardized methods for ablation zone definition, which complicates comparisons across studies and clinical application.
  • Exclusion of studies without detailed methodological descriptions, potentially limiting the breadth of evidence considered.
Conclusion:

Standardization of imaging techniques for ablation zone assessment is crucial for improving outcomes and comparability of results in LITT.

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